Present Status of Obtaining Palliative Care to Cancer Patients: SWOT Analysis

Abstract

Background: Palliative care improves the quality of life (QoL) and extends the survival of cancer patients. It is associated with reduced depression, improved physical and psychological symptoms, and increased patient satisfaction. Objectives: This study aimed to assess the current status of palliative care provision for cancer patients in Iran. Methods: This qualitative study was conducted in 2023 using 19 semi-structured interviews with health professionals, cancer patients at the Tajrish Hospital Cancer Clinic, and their family caregivers. Participants were selected through purposive sampling. Data were analyzed using conventional content analysis based on the approach of Graneheim and Lundman (2004). Themes from each main category were incorporated into a strengths, weaknesses, opportunities, and threats (SWOT) analysis. The trustworthiness of the data was evaluated using Lincoln and Guba’s criteria. Results: Analysis resulted in 462 codes, 14 subcategories, and 5 main categories: (1) Comprehensive support, (2) effective communication, (3) uncertainty, (4) information seeking, and (5) infrastructure. These categories were mapped onto the SWOT matrix to identify strengths, weaknesses, opportunities, and threats. Conclusions: The palliative care system in Iran remains in its developmental stages. To improve service delivery, it is essential to conduct a comprehensive assessment of its current state — including strengths, weaknesses, opportunities, and threats — and implement targeted interventions accordingly.